HCA Houston Healthcare West
HCA Houston Healthcare West in Houston, TX publishes cash prices for 195 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 187 of 193 procedures and below it for 6. By typical cash price it ranks #203 of 211 Texas hospitals and #28 of 35 hospitals in the Houston, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
12141 Richmond Ave, Houston, TX 77082 Collected Sep 27, 2026 Source price file (281) 588-8080
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 450644 · CMS hospital register
The price file shows no self-pay discount
For 279 of the 279 prices listed here, the cash price in HCA Houston Healthcare West's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named HCA Houston Healthcare West in Houston, TX:
- Oct 12, 2023 Met requirements
- Jun 3, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $9,587.00 | $9,587.00 | $300.00–$8,628.30 | 1476% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $4,203.00 | $4,203.00 | $252.18–$3,782.70 | 738% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $10,905.00 | $10,905.00 | $300.00–$9,814.50 | 498% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $27,253.00 | $27,253.00 | $1,635.18–$24,527.70 | 735% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo | $26,932.00 | $26,932.00 | $183.95 | 1563% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $26,932.00 | $26,932.00 | $1,615.92–$24,238.80 | 1563% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $17,727.00 | $17,727.00 | $1,063.62–$15,954.30 | 9255% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium | $17,727.00 | $17,727.00 | $88.62 | 9255% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $31,983.00 | $31,983.00 | $1,918.98–$28,784.70 | 804% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $34,566.00 | $34,566.00 | $2,073.96–$31,109.40 | 782% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $42,904.00 | $42,904.00 | $2,574.24–$38,613.60 | 873% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $18,860.00 | $18,860.00 | $1,131.60–$16,974.00 | 622% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $17,317.00 | $17,317.00 | $1,039.02–$15,585.30 | 695% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $14,508.00 | $14,508.00 | $870.48–$13,057.20 | 751% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $13,743.00 | $13,743.00 | $824.58–$12,368.70 | 576% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $16,071.00 | $16,071.00 | $964.26–$14,463.90 | 642% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $18,583.00 | $18,583.00 | $1,114.98–$16,724.70 | 612% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $21,752.00 | $21,752.00 | $1,305.12–$19,576.80 | 841% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $18,976.00 | $18,976.00 | $1,138.56–$17,078.40 | 698% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $15,702.00 | $15,702.00 | $942.12–$14,131.80 | 501% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $10,007.00 | $10,007.00 | $300.00–$9,006.30 | 609% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $2,728.00 | $2,728.00 | $163.68–$2,455.20 | 497% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $2,216.00 | $2,216.00 | $132.96–$1,994.40 | 478% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $5,142.00 | $5,142.00 | $300.00–$4,627.80 | 593% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $2,051.00 | $2,051.00 | $123.06–$1,845.90 | 393% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $2,051.00 | $2,051.00 | $38.09–$111.80 | 393% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $17,587.00 | $17,587.00 | $1,055.22–$15,828.30 | 727% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $18,583.00 | $18,583.00 | $1,114.98–$16,724.70 | 600% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $3,708.00 | $3,708.00 | $222.48–$3,337.20 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $3,708.00 | $3,708.00 | $222.09–$665.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $6,030.00 | $6,030.00 | $300.00–$5,427.00 | 188% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $12,930.00 | $12,930.00 | $300.00–$11,637.00 | 517% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $11,511.00 | $11,511.00 | $300.00–$10,359.90 | 345% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $15,417.00 | $15,417.00 | $300.00–$13,875.30 | 778% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $16,911.00 | $16,911.00 | $300.00–$15,219.90 | 223% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $16,911.00 | $16,911.00 | $2,366.00–$3,400.00 | 223% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $3,822.00 | $3,822.00 | $229.32–$3,439.80 | 507% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $442.00 | $442.00 | $26.52–$397.80 | 91% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $19,795.00 | $19,795.00 | $1,187.70–$17,815.50 | 727% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $31,330.00 | $31,330.00 | $1,879.80–$28,197.00 | 860% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $15,853.00 | $15,853.00 | $951.18–$14,267.70 | 601% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $25,098.00 | $25,098.00 | $1,505.88–$22,588.20 | 697% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $19,795.00 | $19,795.00 | $1,187.70–$17,815.50 | 727% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $31,330.00 | $31,330.00 | $1,879.80–$28,197.00 | 879% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $19,795.00 | $19,795.00 | $1,187.70–$17,815.50 | 800% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $31,330.00 | $31,330.00 | $1,879.80–$28,197.00 | 755% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $19,795.00 | $19,795.00 | $1,187.70–$17,815.50 | 727% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $32,208.00 | $32,208.00 | $1,932.48–$28,987.20 | 825% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $19,795.00 | $19,795.00 | $1,187.70–$17,815.50 | 627% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $21,581.00 | $21,581.00 | $300.00–$19,422.90 | 391% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $72,564.00 | $72,564.00 | $300.00–$65,307.60 | 1442% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh PET Scan | $72,564.00 | $72,564.00 | $2,268.00–$5,672.00 | 1442% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | $72,564.00 | $72,564.00 | $1,509.95 | 1442% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $3,280.00 | $3,280.00 | $196.80–$2,952.00 | 579% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $4,198.00 | $4,198.00 | $251.88–$3,778.20 | 387% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $6,605.00 | $6,605.00 | $300.00–$5,944.50 | 912% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $4,554.00 | $4,554.00 | $273.24–$4,098.60 | 641% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $3,185.00 | $3,185.00 | $191.10–$2,866.50 | 594% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $2,060.00 | $2,060.00 | $123.60–$1,854.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $2,060.00 | $2,060.00 | $183.64–$665.00 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $16,176.00 | $16,176.00 | $2,366.00–$3,400.00 | 247% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $16,176.00 | $16,176.00 | $300.00–$14,558.40 | 247% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $4,629.00 | $4,629.00 | $277.74–$4,166.10 | 647% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $4,629.00 | $4,629.00 | $130.19 | 647% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $2,993.00 | $2,993.00 | $179.58–$2,693.70 | 365% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $4,207.00 | $4,207.00 | $252.42–$3,786.30 | 724% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $4,578.00 | $4,578.00 | $274.68–$4,120.20 | 431% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $4,848.00 | $4,848.00 | $290.88–$4,363.20 | 607% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $4,550.00 | $4,550.00 | $273.00–$4,095.00 | 622% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $5,519.00 | $5,519.00 | $331.14–$4,967.10 | 680% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $2,042.00 | $2,042.00 | $122.52–$1,837.80 | 466% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $3,296.00 | $3,296.00 | $197.76–$2,966.40 | 529% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $4,736.00 | $4,736.00 | $284.16–$4,262.40 | 626% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $3,356.00 | $3,356.00 | $201.36–$3,020.40 | 730% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $2,416.00 | $2,416.00 | $144.96–$2,174.40 | 752% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $2,917.00 | $2,917.00 | $175.02–$2,625.30 | 671% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $2,190.00 | $2,190.00 | $131.40–$1,971.00 | 489% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $2,079.00 | $2,079.00 | $124.74–$1,871.10 | 555% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $772.00 | $772.00 | $22.30–$28.74 | 1357% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $772.00 | $772.00 | $46.32–$694.80 | 1357% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $730.00 | $730.00 | $43.80–$657.00 | 1299% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $730.00 | $730.00 | $4.44–$26.95 | 1299% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $1,285.00 | $1,285.00 | $8.24–$253.28 | 225% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $1,285.00 | $1,285.00 | $77.10–$1,156.50 | 225% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $230.00 | $230.00 | $13.80–$207.00 | 1514% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $230.00 | $230.00 | $4.47–$26.95 | 1514% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $456.00 | $456.00 | $11.10–$68.24 | 643% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $456.00 | $456.00 | $27.36–$410.40 | 643% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); | $294.00 | $294.00 | $50.18–$64.67 | 224% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $294.00 | $294.00 | $17.64–$264.60 | 224% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $1,175.00 | $1,175.00 | $70.50–$1,057.50 | 461% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,511.00 | $1,511.00 | $90.66–$1,359.90 | 492% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, | $634.00 | $634.00 | $99.93–$157.81 | 113% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $634.00 | $634.00 | $38.04–$570.60 | 113% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $1,076.00 | $1,076.00 | $8.84–$53.90 | 350% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $1,076.00 | $1,076.00 | $64.56–$968.40 | 350% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $357.00 | $357.00 | $21.42–$321.30 | 590% above | — |
| Blood lead test CPT 83655 Lead | $701.00 | $701.00 | $10.37–$64.67 | 1586% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $701.00 | $701.00 | $42.06–$630.90 | 1586% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL SERUM/URINE INSTR | $886.00 | $886.00 | $53.16–$797.40 | 545% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $886.00 | $886.00 | $53.16–$797.40 | 545% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $593.00 | $593.00 | $35.58–$533.70 | 545% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing, serologic; ABO | $593.00 | $593.00 | $12.56–$16.18 | 545% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $540.00 | $540.00 | $32.40–$486.00 | 959% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $1,076.00 | $1,076.00 | $64.56–$968.40 | 400% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $1,076.00 | $1,076.00 | $64.56–$968.40 | 400% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $632.00 | $632.00 | $37.92–$568.80 | 279% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $632.00 | $632.00 | $85.04–$109.59 | 279% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $901.00 | $901.00 | $54.06–$810.90 | 461% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $901.00 | $901.00 | $85.04–$109.59 | 461% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $62.00 | $62.00 | $3.72–$55.80 | 17% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique | $62.00 | $62.00 | $51.31–$52.34 | 17% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $322.00 | $322.00 | $19.32–$289.80 | 164% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $322.00 | $322.00 | $144.97–$186.82 | 164% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,045.00 | $1,045.00 | $62.70–$940.50 | 457% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $694.00 | $694.00 | $41.64–$624.60 | 508% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $1,821.00 | $1,821.00 | $109.26–$1,638.90 | 365% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $663.00 | $663.00 | $39.78–$596.70 | 268% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $1,071.00 | $1,071.00 | $92.01–$118.58 | 579% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $1,071.00 | $1,071.00 | $64.26–$963.90 | 579% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $997.00 | $997.00 | $59.82–$897.30 | 656% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $1,581.00 | $1,581.00 | $76.68–$98.82 | 888% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $1,581.00 | $1,581.00 | $94.86–$1,422.90 | 888% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $589.00 | $589.00 | $35.34–$530.10 | 167% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $589.00 | $589.00 | $16.82–$104.18 | 167% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $997.00 | $997.00 | $59.82–$897.30 | 1166% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $997.00 | $997.00 | $59.82–$897.30 | 846% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $1,791.00 | $1,791.00 | $107.46–$1,611.90 | 1012% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $588.00 | $588.00 | $35.28–$529.20 | 371% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $779.00 | $779.00 | $21.82–$134.70 | 692% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $779.00 | $779.00 | $46.74–$701.10 | 692% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $374.00 | $374.00 | $22.44–$336.60 | 192% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $374.00 | $374.00 | $30.07–$186.82 | 192% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $568.00 | $568.00 | $34.08–$511.20 | 366% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $568.00 | $568.00 | $12.32–$75.44 | 366% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed | $3,214.00 | $3,214.00 | $72.91–$450.86 | 761% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $3,214.00 | $3,214.00 | $192.84–$2,892.60 | 761% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $722.00 | $722.00 | $43.32–$649.80 | 398% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $722.00 | $722.00 | $20.63–$127.56 | 398% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $575.00 | $575.00 | $34.50–$517.50 | 524% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $827.00 | $827.00 | $49.62–$744.30 | 841% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $827.00 | $827.00 | $9.20–$57.47 | 841% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $784.00 | $784.00 | $47.04–$705.60 | 454% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $784.00 | $784.00 | $41.83–$53.90 | 454% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $1,490.00 | $1,490.00 | $89.40–$1,341.00 | 1613% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $1,490.00 | $1,490.00 | $58.54–$75.44 | 1613% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $1,618.00 | $1,618.00 | $97.08–$1,456.20 | 668% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $1,618.00 | $1,618.00 | $175.62–$226.32 | 668% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 | $730.00 | $730.00 | $11.30–$70.08 | 913% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $730.00 | $730.00 | $43.80–$657.00 | 913% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 | $730.00 | $730.00 | $16.57–$102.39 | 754% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $730.00 | $730.00 | $43.80–$657.00 | 754% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $440.00 | $440.00 | $26.40–$396.00 | 193% above | — |
| Insulin blood test CPT 83525 Insulin; total | $739.00 | $739.00 | $9.79–$11.43 | 977% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $739.00 | $739.00 | $44.34–$665.10 | 977% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $571.00 | $571.00 | $34.26–$513.90 | 522% above | — |
| Iron blood test (serum iron) CPT 83540 Iron | $571.00 | $571.00 | $5.54–$34.15 | 522% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $273.00 | $273.00 | $7.49–$46.70 | 171% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $273.00 | $273.00 | $16.38–$245.70 | 171% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $1,511.00 | $1,511.00 | $90.66–$1,359.90 | 329% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $1,511.00 | $1,511.00 | $36.24–$46.70 | 329% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $1,618.00 | $1,618.00 | $97.08–$1,456.20 | 970% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $1,618.00 | $1,618.00 | $76.68–$98.82 | 970% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $657.00 | $657.00 | $39.42–$591.30 | 871% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,693.00 | $1,693.00 | $101.58–$1,523.70 | 435% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $731.00 | $731.00 | $43.86–$657.90 | 1170% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $608.00 | $608.00 | $36.48–$547.20 | 2064% above | — |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola | $608.00 | $608.00 | $11.04–$68.24 | 2064% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $484.00 | $484.00 | $29.04–$435.60 | 403% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $484.00 | $484.00 | $20.91–$26.95 | 403% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $159.00 | $159.00 | $9.54–$143.10 | 24% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $827.00 | $827.00 | $49.62–$744.30 | 718% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $1,242.00 | $1,242.00 | $74.52–$1,117.80 | 432% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $721.00 | $721.00 | $43.26–$648.90 | 1125% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $936.00 | $936.00 | $56.16–$842.40 | 778% above | — |
| Progesterone blood test CPT 84144 Progesterone | $936.00 | $936.00 | $86.43–$111.38 | 778% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $1,392.00 | $1,392.00 | $83.52–$1,252.80 | 1268% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $620.00 | $620.00 | $37.20–$558.00 | 823% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $372.00 | $372.00 | $22.32–$334.80 | 736% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $372.00 | $372.00 | $4.86–$5.67 | 736% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $820.00 | $820.00 | $49.20–$738.00 | 1573% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $820.00 | $820.00 | $49.20–$738.00 | 1573% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $414.00 | $414.00 | $24.84–$372.60 | 511% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $997.00 | $997.00 | $59.82–$897.30 | 872% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $997.00 | $997.00 | $36.24–$46.70 | 872% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $352.00 | $352.00 | $21.12–$316.80 | 604% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o | $352.00 | $352.00 | $18.14–$23.38 | 604% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $478.00 | $478.00 | $65.51–$84.43 | 536% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $478.00 | $478.00 | $28.68–$430.20 | 536% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $528.00 | $528.00 | $31.68–$475.20 | 1139% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $528.00 | $528.00 | $31.68–$475.20 | 1139% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $750.00 | $750.00 | $45.00–$675.00 | 240% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $750.00 | $750.00 | $255.08–$328.72 | 240% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $658.00 | $658.00 | $39.48–$592.20 | 628% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $192.00 | $192.00 | $11.52–$172.80 | 85% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $273.00 | $273.00 | $16.38–$245.70 | 164% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,306.00 | $1,306.00 | $78.36–$1,175.40 | 902% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $1,804.00 | $1,804.00 | $108.24–$1,623.60 | 1963% above | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique | $1,804.00 | $1,804.00 | $30.07–$186.82 | 1963% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $568.00 | $568.00 | $34.08–$511.20 | 367% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $620.00 | $620.00 | $37.20–$558.00 | 475% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $294.00 | $294.00 | $17.64–$264.60 | 486% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $880.00 | $880.00 | $52.80–$792.00 | 408% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $886.00 | $886.00 | $53.16–$797.40 | 639% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $886.00 | $886.00 | $34.86–$44.92 | 639% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $779.00 | $779.00 | $46.74–$701.10 | 685% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $663.00 | $663.00 | $39.78–$596.70 | 438% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $612.00 | $612.00 | $36.72–$550.80 | 715% above | — |
| Zinc blood test CPT 84630 Zinc | $612.00 | $612.00 | $47.41–$61.10 | 715% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $955.00 | $955.00 | $57.30–$859.50 | 973% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 CTH PLC/INJ LHC & L VENT | $34,826.00 | $34,826.00 | $300.00–$31,343.40 | 125% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $6,775.00 | $6,775.00 | $300.00–$6,097.50 | 244% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia; external | $6,775.00 | $6,775.00 | $933.44–$2,315.00 | 244% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including with Cardiac Cath | $76,636.00 | $76,636.00 | $7,818.00 | 110% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including without Cardiac Cath | $76,636.00 | $76,636.00 | $5,591.00 | 110% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including | $76,636.00 | $76,636.00 | $8,579.00–$50,679.47 | 110% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $76,636.00 | $76,636.00 | $300.00–$68,972.40 | 110% above | — |
| Coronary stent placement, one artery CPT 92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm | $49,397.00 | $49,397.00 | $18,627.94–$43,890.00 | 306% above | — |
| Coronary stent placement, one artery CPT 92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm with Cardiac Cath | $49,397.00 | $49,397.00 | $7,818.00 | 306% above | — |
| Coronary stent placement, one artery CPT 92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm without Cardiac Cath | $49,397.00 | $49,397.00 | $5,591.00 | 306% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $31,953.00 | $31,953.00 | $300.00–$28,757.70 | 185% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $45,316.00 | $45,316.00 | $300.00–$40,784.40 | 139% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $45,316.00 | $45,316.00 | $3,673.00–$40,000.00 | 139% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $2,852.00 | $2,852.00 | $171.12–$2,566.80 | 163% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $2,852.00 | $2,852.00 | $32.98–$5,841.00 | 163% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $244.00 | $244.00 | $14.64–$600.00 | 17% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTIND | $244.00 | $244.00 | $14.64–$600.00 | 17% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $13,527.00 | $13,527.00 | $1,758.51–$12,174.30 | 359% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $3,804.00 | $3,804.00 | $228.24–$3,423.60 | 270% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy | $3,804.00 | $3,804.00 | $726.94–$1,248.85 | 270% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $1,236.00 | $1,236.00 | $74.16–$1,112.40 | 326% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $551.00 | $551.00 | $92.57–$495.90 | 92% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,569.00 | $1,569.00 | $263.59–$1,412.10 | 210% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $3,015.00 | $3,015.00 | $506.52–$2,713.50 | 240% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,896.00 | $4,896.00 | $685.44–$4,406.40 | 240% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $7,151.00 | $7,151.00 | $1,001.14–$6,435.90 | 207% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $5,846.00 | $5,846.00 | $300.00–$5,261.40 | 306% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $393.00 | $393.00 | $23.58–$600.00 | 20% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $480.00 | $480.00 | $28.80–$600.00 | 10% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $107.00 | $107.00 | $6.42–$600.00 | 38% below | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $656.00 | $656.00 | $39.36–$600.00 | 141% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $780.00 | $780.00 | $46.80–$702.00 | 119% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $1,133.00 | $1,133.00 | $67.98–$1,019.70 | 208% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $471.00 | $471.00 | $28.26–$600.00 | 125% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $471.00 | $471.00 | $28.26–$600.00 | 125% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $92.00 | $92.00 | $30.72–$139.09 | 37% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $92.00 | $92.00 | $5.52–$600.00 | 37% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $103.00 | $103.00 | $6.18–$600.00 | 111% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes | $103.00 | $103.00 | $29.51–$50.69 | 111% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $905.00 | $905.00 | $54.30–$814.50 | 146% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $656.00 | $656.00 | $39.36–$600.00 | 184% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $820.00 | $820.00 | $49.20–$738.00 | 184% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $538.00 | $538.00 | $32.28–$600.00 | 176% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $1,920.00 | $1,920.00 | $115.20–$1,728.00 | 438% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation | $1,920.00 | $1,920.00 | $323.74–$556.17 | 438% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $3,159.00 | $3,159.00 | $189.54–$2,843.10 | 403% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $3,159.00 | $3,159.00 | $110.47–$189.78 | 403% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $141.50 | $141.50 | $23.22–$68.95 | 210% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $141.50 | $141.50 | $8.49–$127.35 | 210% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | $873.00 | $873.00 | $651.35 | 10% below | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 2-3 DOSE IM | $873.00 | $873.00 | $52.38–$785.70 | 10% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $114.00 | $114.00 | $6.84–$102.60 | 37% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $114.00 | $114.00 | $124.00 | 37% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $291.38 | $291.38 | $17.48–$262.24 | 95% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $291.38 | $291.38 | $161.96 | 95% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $1,158.00 | $1,158.00 | $102.53–$332.65 | 368% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $1,158.00 | $1,158.00 | $69.48–$1,042.20 | 368% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $1,182.00 | $1,182.00 | $220.23 | 357% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $1,182.00 | $1,182.00 | $70.92–$1,063.80 | 357% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $1,908.00 | $1,908.00 | $114.48–$1,717.20 | 95% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $1,908.00 | $1,908.00 | $1,178.22 | 95% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $3,593.00 | $3,593.00 | $520.11 | 250% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $3,593.00 | $3,593.00 | $215.58–$3,233.70 | 250% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $251.00 | $251.00 | $15.06–$225.90 | 90% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $251.00 | $251.00 | $63.94 | 90% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $1,001.00 | $1,001.00 | $65.14 | 503% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $1,001.00 | $1,001.00 | $60.06–$900.90 | 503% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $127.00 | $127.00 | $7.62–$600.00 | 63% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $127.00 | $127.00 | $7.62–$600.00 | 131% above | — |